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首页> 外文期刊>International Journal of Environmental Research and Public Health >Immunization Strategies Targeting Newly Arrived Migrants in Non-EU Countries of the Mediterranean Basin and Black Sea
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Immunization Strategies Targeting Newly Arrived Migrants in Non-EU Countries of the Mediterranean Basin and Black Sea

机译:针对地中海盆地和黑海非欧盟国家新移民的免疫策略

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Background : The World Health Organization recommends that host countries ensure appropriate vaccinations to refugees, asylum seekers and migrants. However, information on vaccination strategies targeting migrants in host countries is limited. Methods : In 2015–2016 we carried out a survey among national experts from governmental bodies of 15 non-EU countries of the Mediterranean and Black Sea in order to document and share national vaccination strategies targeting newly arrived migrants. Results : Four countries reported having regulations/procedures supporting the immunization of migrants at national level, one at sub-national level and three only targeting specific population groups. Eight countries offer migrant children all the vaccinations included in their national immunization schedule; three provide only selected vaccinations, mainly measles and polio vaccines. Ten and eight countries also offer selected vaccinations to adolescents and adults respectively. Eight countries provide vaccinations at the community level; seven give priority vaccines in holding centres or at entry sites. Data on administered vaccines are recorded in immunization registries in nine countries. Conclusions : Although differing among countries, indications for immunizing migrants are in place in most of them. However, we cannot infer from our findings whether those strategies are currently functioning and whether barriers to their implementation are being faced. Further studies focusing on these aspects are needed to develop concrete and targeted recommendations for action. Since migrants are moving across countries, development of on-line registries and cooperation between countries could allow keeping track of administered vaccines in order to appropriately plan immunization series and avoid unnecessary vaccinations.
机译:背景:世界卫生组织建议东道国确保对难民,寻求庇护者和移民进行适当的疫苗接种。但是,关于针对东道国移民的疫苗接种策略的信息有限。方法:2015–2016年,我们对来自地中海和黑海的15个非欧盟国家的政府机构的国家专家进行了调查,以记录和分享针对新移民的国家疫苗接种策略。结果:四个国家报告说在国家一级有支持移民免疫的法规/程序,一个在国家以下一级,而三个仅针对特定人群。八个国家向移徙儿童提供了其国家免疫计划中包括的所有疫苗;三个仅提供选定的疫苗接种,主要是麻疹和脊髓灰质炎疫苗。十个和八个国家分别向青少年和成人提供了特定的疫苗接种。八个国家在社区一级提供疫苗接种;七个在存放中心或进入地点优先接种疫苗。有关接种疫苗的数据记录在九个国家的免疫登记中。结论:尽管各国之间存在差异,但大多数国家都有针对移民进行免疫的迹象。但是,我们无法从我们的发现中推断出这些策略当前是否正在发挥作用,以及是否面临实施这些策略的障碍。需要针对这些方面进行进一步研究,以制定具体而有针对性的行动建议。由于移民在不同国家之间流动,因此发展在线登记簿和国家之间的合作可以跟踪所管理的疫苗,以便适当地规划免疫系列并避免不必要的疫苗接种。

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